[Treatment of ovarian cysts by laparoscopic surgery: a retrospective study of 40 cases]. / Le traitement coeliochirurgical des kystes de l'ovaire. Etude retrospective a propos de 40 cas.

The ovarian cysts treatment has taken advantage of the improvement made on the operating laparoscopy, that gives progressively better results than those of the laparotomy. On the one hand, laparoscopic surgery reduces the traditional surgery constraints by giving an exact histologic diagnosis and a radical cyst treatment. On the other hand, it prevents against inherent recurrence related to a sample puncture, and en the same time diminish adhesion risks. The laparoscopy can treat all kind of histologic benign ovarian cysts. We report the first experience of the Maternité Universitaire des Orangers in treating ovarian cysts by laparoscopic surgery.

[Idiopathic thrombopenic purpura and pregnancy]. / Purpura thrombopenique idiopathique et grossesse.

The idiopathic thrombocytopenic purpura (ITP) associated to a pregnancy is a frequent eventuality, and this association have a high risk. The mother platelet numeration cannot predict the fetal affection, only the mother antiplatelet antibodies rate have a predictive value. The obstetrical attitude is highly discussed and is conditioned by the fetus platelet rate. If the corticotherapy brings an improvement of the maternal and fetal platelet rate, the gammaglobulin therapeutic interest will be confirmed. Thanks to a ITP case associated to pregnancy and a literature review, we will try to appreciate this disease for a pregnant woman, evaluate its consequences on the pregnancy and approach the different steps of the taking care actions.